36D0857470 CLIA NUMBER - MASSILLON CITY HEALTH DEPARTMENT LAB

Laboratory Demographics

  • CLIA Code: 36D0857470
  • Facility Name: MASSILLON CITY HEALTH DEPARTMENT LAB
  • Facility Address: 611 ERIE ST S
    MASSILLON, OH
    ZIP 44646
  • Facility Phone: 330 830-1714
  • Facility Type: Other - HEALTH DEPT
  • Facility Type: Waiver
  • Lab Director: AUDREY SYLVESTER
  • NPI Number: 1083828305
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 36D0857470
LAB Type Other - HEALTH DEPT
Facility Name MASSILLON CITY HEALTH DEPARTMENT LAB
Street 611 ERIE ST S
City MASSILLON
State OH
ZIP 44646
Phone 330 830-1714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - HEALTH DEPT
Lab Director AUDREY SYLVESTER

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This page was last updated on: 9/29/2025